Abstract
We propose a practical risk stratification system highly predictive of long-term survival outcomes after OLT using DCD grafts. Application of this predictive index for transplant candidates receiving DCD liver grafts would improve patients' outcomes and optimize use of scarce resources....
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PMID: 21930997
PDF is available here.
Abstract
Biliary complications (BC) occur in up to 39.5% of patients after orthotopic liver transplantation (OLT), being an important source of post-transplant morbidity. The aim is to evaluate the incidence of BC after OLT, associated risk factors and outcome after endoscopic treatment....
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PMID: 21830379
PDF is available here.
Abstract
The field of hepatobiliary-pancreatic surgery involves performing hepatectomy, pancreatectomy, and hepatopancreatoduodenectomy, which are all very invasive procedures. Since bile and pancreatic juice are associated with the etiology of disease, appropriate management is necessary for patients with c...
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PMID: 21174712
PDF is available here.
Abstract
Single incision LC was successfully performed in 21 patients, with only 4 patients requiring conversion to LC. No patients in either group had acute cholecystitis. The critical view of safety was documented in 20 of 21 patients undergoing a successful single incision LC compared with all patients un...
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PMID: 20708764
PDF is available here.
J García-Cano,
L Taberna-Arana,
C Jimeno-Ayllón,
R Martínez-Fernández,
L Serrano-Sánchez,
A K Reyes-Guevara,
M Viñuelas-Chicano,
C J Gómez-Ruiz,
M J Morillas-Ariño,
J I Pérez-García,
G Pérez-Vigara and
A Pérez-Sola
Abstract
We present our initial experience with a fully covered SEMS (Wallflex) for the management of benign problems of the bile duct.
In a prospective study, stents of 8 mm in diameter and 4, 6 or 8 cm long were inserted by means of ERCP. These SEMS were chosen when according to medical judgement it was th...
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PMID: 20883068
PDF is available here.
Abstract
Tuberculosis (TB) infection is still common today and remains an important cause of morbidity and mortality. Abdominal TB is one of the most prevalent forms of extrapulmonary manifestations, and collectively refers to gastrointestinal, splenic, pancreatic, hepatobiliary and abdominal lymphadenopathy...
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PMID: 20938617
PDF is available here.
Abstract
With the development of devices and the integration with fluoroscopy/ultrasonography, numerous endoscopic-related procedures have made rapid progress. The usefulness of endosonography-related procedures such as biliary drainage, pancreatic duct drainage, gallbladder drainage, pancreatic pseudocyst d...
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PMID: 20662211
PDF is available here.
Abstract
The aphorism that reconstruction of the biliary anastomosis is the "Achilles heel" of liver transplantation remains valid as biliary complications following liver transplantation remain a major source of morbidity with an incidence of 5-32%. Biliary complications include biliary strictures, biliary...
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PMID: 20411422
PDF is available here.
Abstract
Laparoscopic common bile duct exploration (LCBDE) is an effective procedure when endoscopic retrograde cholangiopancreatography is not available. From January 2004 until December 2009, 1254 patients presented with biliary tract disease. Laparoscopic cholecystectomy was attempted in 1240 (98%) cases...
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PMID: 20583520
PDF is available here.
Abstract
No significant difference between groups was found regarding age (p = 0.064) and sex (p = 0.175) distribution, number of procedures (3.1 +/- 1.62; 2 vs 1.7 +/- 1.1; 1, p = 0.151), and days of disease before recovery, death or modification of treatment (51.6 +/- 66.8; 23 vs 18.6 +/- 15.1; 14, p = 0.2...
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PMID: 19890645
PDF is available here.
Abstract
Angiogenesis and the expression of vascular factors play a key role in the pathogenesis of primary biliary cirrhosis, cholangiocarcinoma, liver cysts, and in the progression of biliary fibrosis in animal models. Inhibition of angiogenesis limits fibrosis in animal models, whereas the bile acid, taur...
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PMID: 20061944
PDF is available here.
Abstract
The case of a 75-year-old female suffering from recurrent abdominal pain and nausea is presented. Ultrasound showed gallstones without inflammation of the gallbladder. The patient underwent laparoscopic cholecystectomy and her symptoms resolved. Histological examination of the operation specimen dis...
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PMID: 20375939
PDF is available here.
Abstract
We describe a case of biliary ascariasis in a 27-year-old Philippine au-pair with recurrent upper abdominal pain. Hepatobiliary ascariasis is rarely seen in non-endemic areas. The diagnosis is important because severe complications can occur. If migrated into the biliary tree, it is recommended to p...
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PMID: 20423666
PDF is available here.
Abstract
ERCP is a safe procedure for pregnant women. It can be conducted for biliary stenting and subsequent clearance after deliveries. EUS has a complementary role. Different strategies can be applied according to the conditions or expertise of endoscopists....
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PMID: 20382591
PDF is available here.
Abstract
Urgent EI without fluoroscopy is possible to be performed by endoscopists with the experience from high volume of procedures and is beneficial for the patients with SABP in the ICU or community hospital....
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PMID: 19940798
PDF is available here.
Tomoyuki Akiyama,
Masahiko Inamori,
Keiko Akimoto,
Hiroshi Iida,
Hiroki Endo,
Kunihiro Hosono,
Tamon Ikeda,
Yasunari Sakamoto,
Koji Fujita,
Masato Yoneda,
Tomoko Koide,
Hirokazu Takahashi,
Chikako Tokoro,
Ayumu Goto,
Yasunobu Abe,
Noritoshi Kobayashi,
Kensuke Kubota,
Satoru Saito,
Akihiko Moriya,
Yasushi Rino,
Toshio Imada and
Atsushi Nakajima
Abstract
Distal gastrectomy is not a risk factor for the development of EE and BE. This lack of a positive association between distal gastrectomy and EE and BE may suggest that pancreatic-biliary reflux with a limited amount of acid is not sufficient to damage the esophageal mucosa....
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PMID: 20085437
PDF is available here.
Abstract
Leuconostoc spp. should be considered pathogens in transplant recipients who are exposed to vancomycin....
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PMID: 20305321
PDF is available here.
Abstract
The British Society of Gastroenterology guidelines for the management of malignant obstructive jaundice state: "If a stent is placed prior to surgery, this should be of the plastic type and it should be placed endoscopically. Self-expanding metal stents should not be inserted in pati...
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PMID: 19609609
PDF is available here.
Abstract
Preoperative biliary drainage significantly increases the rates of bile culture positive for bacteria and the probability of wound infection. Bile cultures positive for bacteria adversely impact mortality and morbidity after surgery in jaundiced patients. Although no evidence has been found by this...
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PMID: 19940799
PDF is available here.
Abstract
In this large retrospective case series, a high success rate of DBC was achieved by using dye-free guidewire techniques. This technique has associated lower rates of complications in comparison to those reported earlier....
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PMID: 19636260
PDF is available here.
Abstract
Invasive management of the arterial complications of liver transplantation is associated with longer short-term survival and significantly fewer biliary complications. In our experience, patients benefit from an early diagnosis and aggressive management of complications of this kind.
Copyright 2009...
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PMID: 20074708
PDF is available here.
Abstract
Diseases of the liver and biliary system are common causes of acute abdominal pain and gallstone disease predisposes to cholecystitis and cholangiolithiasis. Sonography is the method of choice for the assessment of cholecystitis, whereas magnetic resonance cholangiopancreaticography (MRCP) is the st...
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PMID: 20157692
PDF is available here.
Abstract
Pre-operative biliary drainage is significantly associated with bile infection, and bile infection increases the overall rates of infective complications and renal insufficiency. Because of the high incidence of complications is associated with infected bile, routine intra-operative bile culture is...
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PMID: 20133232
PDF is available here.
Abstract
ENFTP is much more effective than TPN in assisting patients with severe HPB diseases to recover from anemia, low prealbumin level, and high serum glucose, as well as in decreasing the rates of various infections (pulmonary infection excluded), multiple organ dysfunction syndrome rate, nutrition supp...
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PMID: 20133230
PDF is available here.
Abstract
The mean age of the 122 patients was 8.0 +/- 4.2 years. Indications were biliary pathology in 78 (64.0%), pancreatic pathology in 43 (35.2%), and chronic abdominal pain in one. Biliary indications included choledochal cysts in 40, choledocholithiasis in 24, suspected sclerosing cholangitis in 8, tra...
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PMID: 20101777
PDF is available here.
Abstract
The degrees of elimination of gastroduodenal fluid of MCT and FAC were significantly better than those without an agent (P < 0.01 and P < 0.01). The subjective image quality of MCT of the overall and extrahepatic bile duct were significantly better, although no significant differences for FAC were o...
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PMID: 20182846
PDF is available here.
Abstract
Seventeen patients (50%) were finally diagnosed with benign conditions, including 6 "normal" subjects, while 17 patients (50%) were diagnosed with malignant disease. In terms of diagnostic ability, EUS showed 94.1% sensitivity, 82.3% specificity, 84.2% positive predictive value, 93.3% negative predi...
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PMID: 20066744
PDF is available here.
Abstract
We included 138 consecutive cases of BPA that occured during the period January 2005 to July 2009. All the patients had endoscopically proven BPA consisting of living or dead worms. Comparison was done by chi-square and independent t tests.
The age (mean +/- SD) of the patients was 36.8 +/- 16.1 yea...
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PMID: 20616417
PDF is available here.
Abstract
1. PAD are related to bilio-pancreatic disorders, especially to bile duct stones. 2. The most common physio-pathological mechanism is a alteration of the bile flow, due to angulation, compression and/or obstruction of the final part of the bile duct and Wirsung duct, followed by secondary upper stas...
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PMID: 20405678
PDF is available here.
Abstract
The objective of this work was to develop a scientifically sound rationale for the method of reflex correction of biliary tract dysfunction based on chronobiological data concerning functioning of the acupuncture points corresponding to biliary ducts. It was shown that patients presenting with bilia...
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PMID: 21086595
PDF is available here.
Abstract
ERCP is one of the major diagnostic and therapeutic methods for biliary-pancreatic disease. Therapeutic ERCP is a minimally invasive, safe and effective treatment method for various biliary-pancreatic diseases....
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PMID: 20137483
PDF is available here.
Abstract
Western blotting can accurately reflect duodenal-biliary and pancreaticobiliary refluxes. EK has greater sensitivity than RN for duodenal-biliary reflux. The majority of biliary amylase and lipase comes from the pancreas in all biliary diseases; pancreaticobiliary reflux is the predominant source in...
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PMID: 20007078
PDF is available here.
Abstract
Biliary complications were more frequent after LDLT compared with DDLT. Endoscopic treatment of anastomotic biliary strictures was successful in a minority of patients after LDLT, in contrast with DDLT. Most biliary leaks were successfully treated at endoscopy after LDLT or DDLT....
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PMID: 19996927
PDF is available here.
Abstract
SILC using conventional laparoscopic instrumentation is an effective alternative to standard four-incision laparoscopic cholecystectomy in selected patients. Development of a standardized technique and additional experience is needed for more consistent success. Additional studies of SILC are needed...
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PMID: 19854405
PDF is available here.
Abstract
ERCP following Billroth II gastric resection is, due to modified post-surgery anatomy, markedly more challenging then the conventional procedure. Availability of a variety of tools as well as, understandably, extensive experience and skill of an endoscopist are prerequisite to ERCP success in these...
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PMID: 20017435
PDF is available here.
Abstract
Techniques for management of bile leaks include biliary sphincterotomy and stenting. Partially covered self-expandable metallic stents have been used in complex bile leaks, but they are associated with migration and hyperplasia. A fully covered self-expandable metallic stent (CSEMS) with anchoring f...
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PMID: 19693751
PDF is available here.
Abstract
There is a broad spectrum of benign disorders of the biliary system that resemble hilar cholangiocarcinoma (HCCA) in terms of clinical, pathologic, and imaging findings. No unifying features were found to characterize patients with benign hilar obstruction and distinguish these patients from those w...
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PMID: 20028331
PDF is available here.
Abstract
Acute pancreatitis is a painful inflammatory disorder known to occur in children. Recent reports, primarily on the basis of adult data, have suggested an increasing incidence. However, pediatric studies are limited.
The study was performed to examine the frequency of acute pancreatitis in a pediatri...
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PMID: 19503003
PDF is available here.
Abstract
In this study, 20 cases developed biliary complications, including the common bile duct stenosis in 2 cases, intra- and extra hepatic bile duct stenosis in 13 cases and multiple intrahepatic bile duct stenosis in 5 cases. Among them, 2 patients complicated with bile leakage, 4 with biloma and 3 with...
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PMID: 20058598
PDF is available here.
Abstract
Uncomplicated gallstone disease was diagnosed in 993 patients (79.6%), 221 patients (17.7%) had acute cholecystitis, and 34 patients (2.7%) had jaundice. Associated morbidities were present in 513 patients (41.1%), preoperative ERCP was performed for 132 patients (10.6%), and postoperative septic co...
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PMID: 19668885
PDF is available here.
Abstract
Acute pancreatitis is an acute inflammatory disease of the pancreas which can lead to a systemic inflammatory response syndrome with significant morbidity and mortality in 20% of patients. Gallstones and alcohol consumption are the most frequent causes of pancreatitis in adults. The treatment of mil...
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PMID: 19554647
PDF is available here.
Abstract
We describe the case of a 59-year-old woman with a history of abdominal surgery in which a migrated biliary stent resulted in an ileal perforation. Patients with comorbid abdominal pathologies, including colonic diverticuli, parastomal hernia, or abdominal hernia, may be at increased risk of perfora...
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PMID: 19496201
PDF is available here.
Abstract
The following guidelines were developed for the medical assessment services of the German pension fund. Starting from day-to-day practice, criteria and attributes to guide decisions for a systematisation of the sociomedical assessment of performance in diseases of the liver and the bile ducts were c...
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PMID: 19544282
PDF is available here.
Abstract
Bile duct cannulation was successful in 44 (91.7%) patients. A leak of the cystic duct was demonstrated in 19 (43.2%) patients, the duct of Luschka in 11 (25.0%), and the common hepatic duct in 5 (11.4%). Complete transection of the common bile duct occurred in 4 patients. The remaining patients had...
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PMID: 19502173
PDF is available here.
Abstract
Pathological values of fecal elastase-1 were found in 9 of the 75 patients (12.0%): 7 (9.3%) patients with mild pancreatitis and 2 (2.7%) patients with severe pancreatitis (P=1.000). The frequency of the pathological values of fecal elastase-1 was significantly different from that of various etiolog...
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PMID: 19502175
PDF is available here.
Abstract
a total of 134 patients were evaluated, 65 of whom (48.9%) presented hepatomegalia. Elevated transaminases were present in 42.2% and 11.4% presented cholelithiasis. There was a statistically significant association between the presence of hepatomegalia and SS homozygotes and between cholelithiasis a...
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PMID: 19663084
PDF is available here.
Abstract
The farnesoid X receptor (FXR) is a member of ligand-activated nuclear receptor superfamily. FXR is a bile sensor and is part of a complex network of nuclear receptors that includes also the constitutive androstane receptor and the pregnane X receptor. These receptors act coordinately to regulate es...
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PMID: 19300246
PDF is available here.
Abstract
Magnetic resonance imaging (MRI) in combination with magnetic resonance cholangiopancreatography (MRCP) is an integrated part in the diagnosis of bile-duct diseases and requires a standaridized complex examination technique. Radiologic and gastroenterologic indications are the diagnosis of anomalies...
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PMID: 19401971
PDF is available here.
Abstract
(1) Gram negative strains remain the commonest pathogens in biliary tract infection in Renji Hospital and the commonest pathogen is Escherichia coli. The infection of enterococcus is going up. The mixed infection cases happen mostly in acute biliary infection. (2) To treat biliary infection the broa...
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PMID: 19595212
PDF is available here.
Abstract
This article focuses on the main patterns of damage that are seen in liver allograft biopsies. As with the interpretation of liver biopsies from the native liver, clinicopathological correlation is very important. The therapeutic implications of the biopsy report should also be considered, in partic...
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PMID: 19235661
PDF is available here.
Abstract
Clinically significant biliary leak (BL) following laparoscopic cholecystectomy (LCH) occurs in fewer than 5% patients, nevertheless, due to nonspecific symptoms and low diagnostic accuracy in commonly available imaging modalities, may constitute a diagnostic problem. Penetration of pure bile to per...
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PMID: 19388524
PDF is available here.